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Quality of life of caregivers of patients on home enteral nutrition.

Authors :
Folwarski, Marcin
Maciejewska-Cebulak, Magdalena
Skonieczna-Żydecka, Karolina
Sumlet, Magdalena
Kupiec, Monika
Jankowska, Barbara
Kwella, Bogna
Balul, Gabriela
Szafrański, Waldemar
Kłęk, Stanisław
Source :
Clinical Nutrition; Sep2024, Vol. 43 Issue 9, p1983-1990, 8p
Publication Year :
2024

Abstract

Home enteral nutrition (HEN) patients often rely heavily on caregivers (CGs), whose quality of life (QoL) is significantly impacted. This study aimed to identify potentially modifiable factors influencing the QoL of CGs of HEN patients. A multicentre, cross-sectional study was conducted in three home nutrition centers from Jan 2021 to Jan 2022. We enrolled 90 CGs of HEN patients, collecting data on QoL (WHOQOL-BREF), depression (Beck Depression Inventory), CG burden (Zarit Burden Interview), sleep quality (Pittsburgh Sleep Quality Index), stress (Perceived Stress Scale), life satisfaction (Satisfaction With Life Scale) and financial status. The mean age of CGs was 54.53 years, with 76% being female. 19% of CGs rated their QoL as poor, and 57% had depression. Multivariate regression analysis showed that financial satisfaction (β = 0.14, p < 0.01) and depression (β = −0.03, p < 0.001) were significant predictors of QoL (R<superscript>2</superscript> = 0.6). Depression correlated with CG burden (r = 0.54, p < 0.001), poor sleep quality (r = 0.47, p < 0.001), stress (r = 0.68, p < 0.001), and financial satisfaction (r = −0.39, p = 0.001). The average monthly income per person was $663.3 and 51.2% of CGs were not satisfied with their financial situation. Lower income was correlated with stress (r = −0.298, p = 0.023). CG burden was associated with financial satisfaction (r = −0.373, p < 0.001), quality of sleep (r = 0.296, p = 0.005) depression (r = 0.54, p < 0.001), stress (r = 0.5, p < 0.001) and satisfaction with life (r = −0.389, p < 0.001). CGs of HEN patients face substantial challenges impacting their QoL, particularly financial stress and depression. Addressing these issues through comprehensive support systems is crucial to improve CG well-being and, subsequently, patient care outcomes. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
02615614
Volume :
43
Issue :
9
Database :
Supplemental Index
Journal :
Clinical Nutrition
Publication Type :
Academic Journal
Accession number :
179369468
Full Text :
https://doi.org/10.1016/j.clnu.2024.07.011